Please fill out and submit this form so we can add you to our scheduling database.

Reminder about being in the program:

No more than two animals may walk together at a time.
Be aware of the faces and energy of people as you approach with your animal. Watch their body language.
Not everyone is comfortable with animals, so be mindful of this. Do not assume everyone loves animals.
Explain this is a therapy dog and we work with the Airport chaplains. (Most people are not aware we have this program.)
People who do like animals are pretty enthusiastic, so make sure you explain that your animal is friendly.
Be mindful of the animal's energy and interaction so everyone feels safe.
Always bring a “bag” or two in case your animal needs to relieve themselves.
If the animal drools, have a cloth or something to wipe off.
Enjoy your time and know that you and your animal can make a difference in providing an opportunity for others to feel safe, joyful, and relaxed.

Name and Address

First name:

Last name:

Middle name:

Title:

Nickname:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Emergency Contacts

1

2

First name:

Last name:

Street 1:

City:

State:

Zip:

Home phone:

Work phone:

Cell phone:

Relationship:

Demographic Information

You may optionally provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

Gender:

Education:

Marital status:

Uniform jacket size:

Languages Spoken:

Driver's license/state ID number:

Therapy animal name and breed:

Why are you interested in joining the HOST Volunteer Program?

Availability

Please indicate the days and times you are usually available to volunteer.

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities by email, however will not send you any email you prefer not to receive. Use the checkboxes below to select the kinds of email you would like to receive from us.

What kinds of email would you like to receive?

Electronic Newsletters

Recruitment Appeals

Schedule Updates

Schedule reminders

HOST Agreement

I certify that all of the information provided in this application is true to the best of my knowledge. By checking this box I agree that should I be accepted as a volunteer I am willing and able to commit to a minimum of one year of service to the program and fulfill my monthly shift requirements (3 shifts per month minimum). I also will be able to complete all training requirements (4 shifts) within six weeks of completing .

I Agree